トップニュース​​  

DHCSがMedi-Cal細胞・遺伝子治療アクセスモデルへの参加を承認​​ 

The Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS) approved DHCS’ participation in the groundbreaking Cell and Gene Therapy (CGT) Access Model beginning on July 1, 2025. This multi-year initiative will expand Medi-Cal members’ access to lifesaving gene therapies for sickle cell disease (SCD), a severe genetic blood disorder that disproportionately affects people of African descent. These therapies have the potential to transform lives, and this initiative helps ensure that cost is not a barrier for Californians who need them most.​​ 

Initially, the CGT Access Model will focus on access to gene therapy treatments for people living with SCD, specifically targeting therapies like Vertex’s Casgevy and Bluebird’s Lyfgenia. It aims to improve health care outcomes for Medi-Cal members by facilitating access to transformative therapies, while managing costs through outcomes-based agreements between CMS, manufacturers, and state Medicaid agencies. DHCS will work with CMS on onboarding activities in the coming weeks and will share more detailed information as it becomes available.​​ 

プログラムの最新情報​​ 

California’s 1115 Waiver Approvals Remain Unaffected​​ 

DHCS partners may be aware that on April 10, CMS announced it will not approve new requests from states for federal matching funds for state expenditures on Designated State Health Programs (DSHP) and Designated State Investment Programs (DSIP). These funds, approved by CMS, allow states to support health care delivery system transformations not typically covered by Medicaid.​​ 

This announcement does not affect California’s previously approved DSHP funding, including initiatives under the California Advancing and Innovating Medi-Cal (CalAIM) and Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) 1115 waivers, which remain federally approved and operational. Specifically, the Providing Access and Transforming Health (PATH) initiative under CalAIM will continue. In BH-CONNECT, DSHP funds support the implementation of the Behavioral Health Workforce Initiative program, which is expanding the supply and competencies of behavioral health providers who commit to serving Medi-Cal members. This initiative is designed specifically to support the Medi-Cal behavioral health workforce with strong requirements for participating in high-volume Medi-Cal provider settings and is not a general student loan repayment program.​​ 

DHCS remains committed to serving Californians with equitable access to quality health care, leading to a healthy California for all. We appreciate our Medi-Cal providers and community partners, and together we will push full steam ahead to transform our health system and improve health outcomes.​​ 

私たちのチームに参加しませんか​​ 

DHCSは、次のような役割を果たす才能と意欲のある個人を求めています。​​ 

• Chief of the Benefits Division (BD). The Chief of BD leads the development, implementation, and administration of medical coverage policies for health care services provided by the state’s Medi-Cal program. The Chief also oversees several specialty programs within Health Care Benefits and Eligibility, including Every Woman Counts, Prostate Cancer Treatment, and Hearing Aid Coverage for Children. Applications must be submitted by April 18.​​ 

• Chief of the Investigations Division (ID). The Chief of ID leads all investigation activities for DHCS programs, including Medi-Cal. These activities include fraud data analytics, the Medi-Cal Fraud Hotline, complaint intake, investigative audits, and provider and member fraud investigations. Additionally, the Chief of ID is responsible for developing and implementing policies and processes related to fraud, waste, and abuse investigations under the division’s purview and ensuring compliance with all applicable federal and state laws, rules, and regulations. Applications must be submitted by April 25.​​ 

DHCSは、会計、行動の健康、およびその他のチームも採用しています。詳細については、 CalCareersのWebサイトをご覧ください。
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今後のステークホルダーミーティングとウェビナー​​ 

DHCS は、イベントカレンダーに今後の公開会議を掲載します。
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従来の医療慣行の福利厚生の実施​​ 

On April 22, DHCS will present an overview of Behavioral Health Information Notice (BHIN) 25-007 – Traditional Health Care Practices Benefit Implementation at the Tribal and Indian Health Program Representatives meeting (1 to 4 p.m. PDT, advance registration required). The presentation is open to the public and will review policy guidance to support Indian Health Care Providers and Drug Medi-Cal Organized Delivery System counties in implementing this new benefit. Attendees are encouraged to submit questions in advance to traditionalhealing@dhcs.ca.gov with the subject line “Traditional Health Care Practices Implementation.” For questions about traditional health care practices or this BHIN, please email traditionalhealing@dhcs.ca.gov.​​ 

DHCS hosts the quarterly Tribal and Indian Health Program Representatives meeting to facilitate early engagement and discussion with Tribal partners on the development of DHCS initiatives that specifically impact Tribes, Indian health programs, and American Indian Medi-Cal members. For more information, please see the Indian Health Program webpage.
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選ばれた家族、パート2:トランスジェンダーとジェンダーの多様な人々の避妊と生殖能力​​  

5月5日午前10時から11時30分までPDT、DHCSは、Chosen Family、Part 2:トランスジェンダーおよびジェンダーの多様な人々の避妊と生殖能力のウェビナーを開催します(事前登録が必要です)。トランスジェンダーやジェンダーダイバーシティ(TGD)の人々が患者集団に占める割合は増え続けていますが、TGDの健康に関しては、医療従事者の知識が不足していると多くの人が報告しています。このセッションでは、このウェビナーシリーズの パート1 で紹介したTGDの健康用語とコンピテンシーの要点に基づいて、避妊、不妊治療、家族形成カウンセリングに関するエビデンスに基づく推奨事項をレビューします。ライブウェビナーに参加できない場合は、ウェビナーのトランスクリプトと録画、および追加のリソースが後日 Family PACTのWebサイト で利用可能になります。
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ステークホルダー諮問委員会(SAC)/行動健康(BH)-SAC会議​​ 

5月21日午前9時30分から午後3時(太平洋夏時間)まで、DHCSはサクラメントの1700 K Street(1階会議室17.1014)でハイブリッド SAC/BH-SAC会議 (オンラインおよび対面での参加には事前登録が必要)を開催します。SACは、質の高い医療への公平なアクセスを提供するための取り組みについて、DHCSに貴重な意見とフィードバックを提供します。BH-SACは、行動の健康イニシアチブに関する意見をDHCSに提供し、行動の健康をより大きな医療システムに統合するための継続的な取り組みの一環として作成されました。議題やその他の会議資料は、会議の日付が近づくにつれて 掲載 されます。詳細については、 SACinquiries@dhcs.ca.gov または BehavioralHealthSAC@dhcs.ca.gov までメールでお問い合わせください。
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見逃した場合に備えて​​ 

提案35:医療へのアクセス保護法-SAC​​  

Today, DHCS held the first Protect Access to Health Care Act-SAC meeting. This committee is responsible for advising DHCS on developing and implementing components of the Protect Access to Health Care Act of 2024 (Proposition 35). This meeting marked the beginning of the formal stakeholder consultation process required under Proposition 35. Please see the Protect Access to Health Care Act-SAC webpage for more information about the meeting. Also, to help clarify the facts about California’s Managed Care Organization Tax and outline how Proposition 35 implementation is progressing, DHCS published frequently asked questions. For general inquiries, please email DHCSPAHCA@dhcs.ca.gov.
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オープン中:アクセスの提供と医療の変革(PATH)容量とインフラストラクチャの移行、拡張、開発(CITED)ラウンド4アプリケーション​​ 

On January 6, DHCS opened the PATH CITED Round 4 application window, which includes funding opportunities to support the implementation of the new transitional rent Community Support. The PATH CITED initiative provides funding to build the capacity and infrastructure of on-the-ground partners, including community-based organizations, hospitals, county agencies, Tribes, and others, to successfully participate in Medi-Cal. All organizations providing the transitional rent Community Support must do so in partnership with their county behavioral health department. To demonstrate this partnership, all CITED applicants planning to request funding to support the transitional rent Community Support must also submit a Letter of Support in collaboration with the county behavioral health department.​​ 

PATH CITED Round 4の資金調達の申請期限は、2025年5月2日午後11時59分(太平洋夏時間)です。ガイダンス文書とアプリケーションは、PATH CITEDのWebページで入手できます。ご不明な点が ございましたら、cited@ca-path.com までお送りください。

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